Inhaler mishandling remains common in real life and is associated with reduced disease control
Andrea S. Melani,Marco Bonavia,Vincenzo Cilenti,Cristina Cinti,Marco Lodi,Paola Martucci,Maria Serra,Nicola Scichilone,Piersante Sestini,Maria Aliani,Margherita Neri +10 more
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TLDR
In this paper, the authors investigated the prevalence of inhaler mishandling in a large population of experienced patients referring to chest clinics; to analyze the variables associated with misuse and the relationship between inhaler handling and health-care resources use and disease control.About:
This article is published in Respiratory Medicine.The article was published on 2011-06-01 and is currently open access. It has received 681 citations till now. The article focuses on the topics: Dry-powder inhaler & Inhaler.read more
Citations
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Journal ArticleDOI
A quantitative evaluation of adherence and inhalation technique among respiratory patients: An observational study using an electronic inhaler assessment device
TL;DR: This study aimed to examine adherence level and IT among respiratory patients in community care using such an EMD for the first time in England using an objective measure of both adherence and IT.
Journal ArticleDOI
Is ‘GOLD’ standard for the management of COPD in clinical practice?
TL;DR: Therapy can improve QoL, the level of symptoms, functionality and life expectancy, and ICS are used to prevent exacerbations and, in carefully selected patients, may have additional benefits due to exacerbation prevention.
Journal ArticleDOI
Current unmet needs and potential solutions to uncontrolled asthma
William W. Busse,Monica Kraft +1 more
TL;DR: The benefits of shared decision-making, good patient–clinician communication, supported self-management, risk stratification and novel treatments in transforming patient care are reviewed.
Journal ArticleDOI
Short-term effect of a smart nebulizing device on adherence to inhaled corticosteroid therapy in Asthma Predictive Index-positive wheezing children.
TL;DR: A smart electronic nebulization device could significantly improve the rate of adherence to ICS in children under the age of 5 years, and thus could significantly reduce the frequency of emergency visits and respiratory infections as well as the usage of antibiotics or systemic steroids.
Journal ArticleDOI
Breathing Out Completely Before Inhalation: The Most Problematic Step in Application Technique in Patients With Non-Mild Chronic Obstructive Pulmonary Disease.
Magda Vytrisalova,Tereza Hendrychova,Tereza Touskova,Eva Zimcikova,Jiri Vlcek,Libor Nevoranek,Michal Svoboda,Karel Hejduk,Kristián Brat,Marek Plutinsky,Barbora Novotna,Pavlina Musilova,Matej Cernohorsky,Vladimir Koblizek +13 more
TL;DR: The A-ApplT in real-life patients with non-mild COPD was inadequate and patients should be repeatedly trained by properly (re-)educated medical staff.
References
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Lung volumes and forced ventilatory flows
TL;DR: Assessing the total lung capacity is indispensable in establishing a restrictive ventilatory defect or in diagnosing abnormal lung distensibility, as may occur in patients …
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Development of the asthma control test: A survey for assessing asthma control
Robert A. Nathan,Christine A. Sorkness,Mark Kosinski,Michael Schatz,James T.C. Li,Philip Marcus,John J. Murray,T.B. Pendergraft +7 more
TL;DR: Results reinforce the usefulness of a brief, easy to administer, patient-based index of asthma control.
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Evaluation of Clinical Methods for Rating Dyspnea
TL;DR: The results show that the BDI, MRC scale, and OCD provide significantly related measures of Dyspnea, and the clinical ratings of dyspnea correlate significantly with physiologic parameters of lung function; and breathlessness may be related to the pathophysiology of the specific respiratory disease.
Journal ArticleDOI
Effect of incorrect use of dry powder inhalers on management of patients with asthma and COPD
Federico Lavorini,Antoine Magnan,Antoine Magnan,Jean Christophe Dubus,Thomas Voshaar,Lorenzo Corbetta,Mariëlle E.A.C. Broeders,Richard Dekhuijzen,Joaquín Sanchis,José Luis Viejo,Peter J. Barnes,Christopher Corrigan,Mark L Levy,Graham K. Crompton +13 more
TL;DR: It is demonstrated that incorrect DPI technique with established DPIs is common among patients with asthma and COPD, and suggests that poor inhalation technique has detrimental consequences for clinical efficacy.
Journal ArticleDOI
Misuse of corticosteroid metered-dose inhaler is associated with decreased asthma stability
Violaine Giraud,Nicolas Roche +1 more
TL;DR: Misuse of pressurized metered-dose inhalers, which is mainly due to poor coordination, is frequent and associated with poorer asthma control in inhaled corticosteroid-treated asthmatics, highlighting the importance of evaluating inhalation technique and providing appropriate education in all patients.
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